Childcare Leave Application Form

The Childcare Leave Application Form is a document that parents or guardians can use to request childcare leave from their employers. This form can be used to request leave for a variety of reasons, including:- To care for a sick child- To attend a child's medical appointments- To deal with a child's emergency- To take part in school activitiesThis form can be used to request leave for both full-time and part-time employees.

2 minutes to complete


Either of the parents can fill out the childcare leave application form.


Questions for Childcare Leave Application Form



Name of the Applicant

The answer should be a text input.


The answer should be a text input.


The answer should be a text input.

Leave From

The answer should be a date input.

Leave To

The answer should be a date input.

Reason(s) for leave applied for

The answer should be a text input.

Emergency contact number

The answer should be a phone number.

Signature of applicant

The answer should be a signature.


The answer should be a date input.

Forms Similar to Childcare Leave Application Form

  • Parental Leave Application Form
  • Maternity Leave Application Form
  • Paternity Leave Application Form
  • Shared Parental Leave Application Form
  • Adoption Leave Application Form

Here are some FAQs and additional information
Childcare Leave Application Form

What is a childcare leave form?

A childcare leave form is a form that is meant for parents especially the mothers that helps them to take leave in order to take care of their child.

What is childcare leave?

Childcare leave is usually for the mothers to take care of their children in case of sickness, medical emergency, medical appointments.

How many days can you take childcare leave?

Child Care Leave can be granted at 100% of the leave salary for the first 365 days and 80% of the leave salary for the next 365 days.

What are some childcare leave rules?

The childcare leave can be taken by any women employee who is having a minor child. And the leave can last up to two years.

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